NPI: 1396288551 · MCMINNVILLE, TN 37110 · Pharmacy · NPI assigned 11/21/2016
| Authorized Official | HAZELWOOD, STACY (OWNER/PRESIDENT/PIC/AO) |
| NPI Enumeration Date | 11/21/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90756 | 12 | 12 | $0.00 |